title: Prevalence of "distressed" personality in patients with coronary artery disease and its correlation with morbidity after coronary surgery.
abstract: BACKGROUND
  The "distressed" (Type-D) personality is an emerging risk factor in cardiovascular diseases and is associated with an increased risk of impaired quality of life, morbidity and mortality. The purpose of this study was to explore the prevalence of Type-D personality among patients with coronary artery disease (CAD) and its association with the development of complications following coronary artery bypass grafting surgery.
  
  
  METHODS
  A Greek version of the Type-D Personality Scale-14 (DS14), along with the Hospital Anxiety and Depression Scale (HADS) as well as the Ways of Coping Questionnaire (WCQ), were used. A cohort of 323 patients with CAD was examined.
  
  
  RESULTS
  The prevalence of Type-D personality among Greek patients with CAD was found to be 18.24%. Type-D patients showed a higher rate of anxiety and depression compared to non Type-D patients. Type-D was also associated with passive coping and negatively correlated with active coping. Regarding postoperative morbidity, type-D patients were at an increased risk of developing postoperative atrial fibrillation, while no significant differences were found in the development of any other complication.
  
  
  CONCLUSIONS
  The impact of Type-D personality on health outcomes should be studied further, both in clinical samples and in the general population.
authors.affiliation: AHEPA University Hospital, Department of Cardiothoracic Surgery, Thessaloniki, Greece.
authors.forename: Timotheos G
authors.initials: TG
authors.lastname: Kelpis
authors.forename: Kyriakos
authors.initials: K
authors.lastname: Anastasiadis
authors.forename: Ioannis
authors.initials: I
authors.lastname: Nimatoudis
authors.forename: Martha G
authors.initials: MG
authors.lastname: Kelpi
authors.forename: Stavros
authors.initials: S
authors.lastname: Hadjimiltiades
authors.forename: Christos
authors.initials: C
authors.lastname: Papakonstantinou
mesh_terms: D000328:Adult; D000368:Aged; D001008:Anxiety Disorders / Q000453:epidemiology; D001026:Coronary Artery Bypass; D003324:Coronary Artery Disease / Q000150:complications* / Q000601:surgery; D003866:Depressive Disorder / Q000453:epidemiology; D005260:Female; D006115:Greece; D006801:Humans; D008297:Male; D008875:Middle Aged; D009017:Morbidity; D010552:Personality Assessment; D010554:Personality Disorders / Q000175:diagnosis / Q000453:epidemiology*; D015995:Prevalence; D012307:Risk Factors; D011795:Surveys and Questionnaires; D064415:Type D Personality